Healthcare Provider Details

I. General information

NPI: 1639288467
Provider Name (Legal Business Name): CALHOUN PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 HENRY RD
ANNISTON AL
36207-6344
US

IV. Provider business mailing address

3320 HENRY RD
ANNISTON AL
36207-6344
US

V. Phone/Fax

Practice location:
  • Phone: 256-236-7611
  • Fax: 256-237-9708
Mailing address:
  • Phone: 256-236-7611
  • Fax: 256-237-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number22224
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number22224
License Number StateAL

VIII. Authorized Official

Name: MRS. CINDY M CALHOUN
Title or Position: SEC TREASURER
Credential:
Phone: 256-237-2751